PRICEVILLE PRIMARY CARE
NPI 1407339328
Family Medicine in Decatur, AL

Active since September 07, 2018
68 MARCO DR, DECATUR, AL 35603(256) 973-2802(256) 686-0178 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2022, Oct 22, 2018, Sep 7, 2018 (3 updates tracked since 2018).

About Priceville Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRICEVILLE PRIMARY CARE (NPI 1407339328) is a healthcare organization registered as a family medicine in Decatur, Alabama and active in the NPI registry since September 2018. The organization lists Kelli S Powers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407339328
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRICEVILLE PRIMARY CARE
Location Address68 MARCO DRDecatur, AL 35603-5425
Mailing Address1201 7th St SeDecatur, AL 35601-3337 · (256) 973-2802 · Fax (256) 973-2552
Fax(256) 686-0178
Organization SubpartNo
Authorized OfficialKelli S PowersCeo · (256) 973-3535
Enumeration DateSeptember 7, 2018
Last NPPES UpdateOctober 24, 20243 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1407339328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License RN1-151783 (AL)
68 MARCO DR, Decatur, AL 35603

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priceville Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Priceville Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Family Practice
NPI 1760831028
68 MARCO DR
Decatur, AL 35603
(256) 973-5650
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376064121
1304 13TH AVE SE
Decatur, AL 35601
(256) 340-1251
✔ PECOS✔ Accepts Medicare5.4 mi
Internal Medicine
NPI 1578577615
1215 7TH ST SE SUITE 120
Decatur, AL 35601
(256) 341-0715
✔ PECOS✔ Accepts Medicare5.6 mi
Family Practice
NPI 1205351335
1201 7TH ST SE
Decatur, AL 35601
(256) 973-2909
✔ PECOS✔ Accepts Medicare5.7 mi
Family Practice
NPI 1134860968
617 COLLEGE ST NW
Hartselle, AL 35640
(256) 551-4433
✔ PECOS✔ Accepts Medicare6.5 mi
Family Practice
NPI 1275273252
617 COLLEGE ST NW
Hartselle, AL 35640
(256) 773-0303
✔ PECOS✔ Accepts Medicare6.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2156974

Priceville Primary Care · Decatur, AL
Expired · Oct 28, 2026
CLIA Number01D2156974
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorBrooke Bevis
Laboratory Phone(256) 973-5650
Laboratory LocationPriceville Primary Care68 Marco Drive SE, Decatur, AL 35603
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Priceville Primary Care's NPI number?

The NPI number for Priceville Primary Care is 1407339328. It was assigned to this organization in the NPPES registry on September 7, 2018.

Where is Priceville Primary Care located?

Priceville Primary Care is located at 68 Marco Dr, Decatur, AL 35603. The listed phone number is (256) 973-2802.

What is Priceville Primary Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Priceville Primary Care enrolled in Medicare?

Yes. Priceville Primary Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Priceville Primary Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Priceville Primary Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (4), Internal Medicine (1) and Nurse Practitioner (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Priceville Primary Care was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.